[Solved] HESI Critical Care TEST BANK RN

[Solved] HESI Critical Care TEST BANK RN ). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50, anD HCO3 24. What does the patient have? • *Remember: If the CO2 is high it will always be resp. acidosis 2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is in SVT. What is the nursing intervention? • 3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow by the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What should you do? • 4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS. • 5). DKA math question • 6). Older client comes in with CAP and SpO2 89%. What is the priority intervention? • 7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxious and hyperventilating. What is the priority intervention? • 8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her into the ED. Husband states that she has not been feeling well and that she needed help getting ready today. (Patient has SIAH). What should you do? • *Remember that SIAH causes seizures so you have to put the client on fall precaution 9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse has to prepare for cardioversion. What task can the UAP do? • 10). A pt has a cardioversion due to uncontrolled A Fib. What vital shows that the cardioversion was successful? • 11). Pt has ortho surgery and 12 hrs after the surgery the patient is anxious and sob. What is the nursing intervention? • 12). The pt is receiving dopamine. What do you have to monitor for while on this drug? • 13). During the insertion of a swan gans, what should the nurse do? • 14). Which of these vital signs are contraindicative of ICP? • *Remember that normal PaCo2 should be between 35-45. When it increased, it will cause more ICP. 15). There is a question about SIAH and normal lab values that would be associated with this disease. • 16). A pt has a Glasgow coma scale of 14. What should the nurse do? • 17). When caring for a client on a ventilator which finding shows the airway is open? • 18). Pt is in the ICU after a colon resection. The vital signs are: 135hr, temp 103, and BP of 88/65 and urine output of 10mL/ hr. What should the nurse do? • 19). There will be another question just like 18. The scenario will be different but the BP will be very low as well. • . 20). A client has syncopal episodes due to 3rd degree block. The patient receives a transcutaneous pacemaker. The nurse observes that there are several episodes the pacemaker fails to sense. What should the nurse do? • 21). Which of these drugs are the strongest or most effective vasodilators? • 22). There will be another math question. It’s mcg to mg. 4mcg/kg and client weighs 165 lbs. • 23). A FEMALE falls down a flight of stairs and is having trouble walking and bearing weight. The MD prescribes hydrocodone for pain and an xray. What should the nurse do? • 24) , A pt with a chest tube has the tube dislodged from the pleural space. What is the nursing intervention? • 25). A postoperative client is admitted to the ED with an Intra arterial (IA) canula. There is heparin infusing at 2 units per mL. Which finding indicates the heparin has achieved therapeutic use? • 26). A pt arrives to the ED with pain. Which description should prompt the nurse to suspect an MI? • 27). What equipment should always be made available at the bedside for a pt with a chest tube? • 28). What things should be done to determine if an ETT tube is in place. This is the select all that apply. There will be 3 answers. • 29). Pt comes in with SEVERE hypotension. What medication should you expect there to be a prescription for? • 30). A female client has been asystole for 20 minutes and there has been no change in the client’s condition. The client is also intubated. What should the nurse do? • 31). A 47-year-old female client that comes in and thinks they have indigestion due to vigorous workout. Which client problem has the highest priority? • 32). There will be an EKG strip. • 33). A client is treated for MI that occurred less than 6 hrs ago. The MD suspects 100% occlusion. What does the EKG show? • 34). There will be a list of vital signs and the patient will come in 2 hours after being in pain. What does the nurse suspect the patient to have? • 35). Client has a pneumothorax and has a chest tube with NO fluctuation in the water seal. What should the nurse do? • 36). A male falls 20 feet and the nurse observes it. The client has no pulse. What should the nurse do? • 37). There is an older woman patient that feels very weak and is having a hard time breathing. She is leaning over while the nurse is doing her assessment and she can’t keep her head up. What is the nursing intervention? • 38). There will be a question about a client that is on the ventilator. What nursing intervention should be done so that the pt doesn’t develop VAP? • 39). You get a patient that is getting an ETT. The MD has sedated the pt and the pt has soft restraints. What is the nursing intervention? • 40). You have been trying to place an IV in a patient that is CONFUSED and ANXIOUS. What is the best intervention? • 41). What do you do PRIOR to drawing from and Arterial Line? • 42). There will be a question with vitals that is related to acute pancreatitis. It will ask what should you monitor for? • 43). A pt diagnosed with acute pancreatitis is admitted to the ICU with a temp 102, PR 138, RR 32 and BP of 80/40. Which finding should the nurse report to the healthcare provider? • 44). A pt comes in who was in a fire and the smoke was in her face. The pt states that they can not breath. What is the priority nursing intervention? • 45). A pt is on a ventilator and the vent is malfunctioning. What is the nursing intervention? • 46). A pt is turning and the chest tube falls out. What should the nurse tell the pt to do? • 47). On admission the client is septic due do a ruptured appendix. The vital signs shows that the pt has a 39.8 C temp, WBC 18,000, and bp of 68/4?. (there will be more values but I don’t remember them) What class of medication is needed? 48). There will be list of lab values that include a normal sodium level, a slightly elevated WBC, another value that I don’t remember but it was normal and a BNP of 800. • 49). The vent HIGH alarm is going off. What is the reason the alarm is going off? 50). A pt with a basilar skull fractur has blood leaking from their nose and ears. What intervention should the nurse do? •